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Rosenblatt A, Pederson R, Davis-Sandfoss T, Irwin L, Mitsos R, Manworren R. Child life specialist services, practice, and utilization across health care: a scoping review. JBI Evid Synth 2024; 22:1303-1328. [PMID: 38720647 DOI: 10.11124/jbies-23-00025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/11/2024]
Abstract
OBJECTIVE The objective of this review was to map the available evidence regarding the scope of child life specialist services, practice, and utilization. INTRODUCTION The concept of child life services began in 1922 and emerged as the child life specialist services specialty in the United States in the 1970s and 1980s. Child life specialists are members of multidisciplinary health care system teams who prioritize the developmental needs of pediatric patients to support and improve patient and family health care experiences. Evidence of the effectiveness of child life specialist services and the utilization of those services is often incorporated in multidisciplinary research reports and thus overlooked. INCLUSION CRITERIA All quantitative, qualitative, and mixed methods research study reports and systematic reviews investigating child life specialist services, practice, and utilization in health care systems were included. METHODS This review was guided by the JBI methodology for scoping reviews and a published a priori protocol. CINAHL (EBSCOhost), MEDLINE (PubMed), Scopus, and PsycINFO (APA) were searched for evidence published from January 1980 to August 2022. RESULTS Research publications about child life specialist services, practice, and utilization have increased dramatically over the past decade, with more than 50% of studies published in the past 5 years. Although the first authors of the majority of the research publications were physicians, these multidisciplinary author teams depicted child life specialist services in a variety of roles, including co-investigators, interventionists, and research subjects. The 105 full-text publications reviewed were from 9 countries, plus 1 publication that surveyed people across Europe. The contexts spanned a wide scope of clinical settings and medical subspecialties, but primarily in hospitals and health centers, and to a lesser extent, in ambulatory clinics and communities. A wide variety of child life specialist services were described across these settings. CONCLUSION Mapping the research can help delineate the barriers and facilitators to child life specialist services in health care systems. This scoping review provides evidence of the global diffusion of child life specialist services across health care system settings, with recent increases in research publications involving child life specialist services.
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Affiliation(s)
- Audrey Rosenblatt
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
- Rush University College of Nursing, Chicago, IL, USA
- Lurie Children's Pediatric Research and Evidence Synthesis Center (PRESCIISE): A JBI Affiliated Group, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Renee Pederson
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | - Tyler Davis-Sandfoss
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
- Rush University College of Nursing, Chicago, IL, USA
| | - Lauren Irwin
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | - Rebecca Mitsos
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | - Renee Manworren
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
- Lurie Children's Pediatric Research and Evidence Synthesis Center (PRESCIISE): A JBI Affiliated Group, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
- Northwestern University Feinberg School of Medicine, Chicago, IL, USA
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Rosenblatt A, Pederson R, Davis-Sandfoss T, Irwin L, Mitsos R, Manworren R. Child life specialist practice and utilization across health care: a scoping review protocol. JBI Evid Synth 2023; 21:407-413. [PMID: 36036568 DOI: 10.11124/jbies-22-00012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVE The objective of this review is to map the available evidence regarding the scope of child life specialist practice and utilization. INTRODUCTION Child life specialists provide developmentally appropriate and emotion-focused supportive interventions that aim to build coping skills, enhance resilience, and mitigate traumatic experiences during health care encounters. Evidence of the care provided by a child life specialist is spread throughout health care literature. It is an emerging field that is aligned with a heightened focus on mental health and emotional safety. Evidence for the efficacy of child life specialists continues to grow. INCLUSION CRITERIA Mapping the current evidence will capture the breadth of services provided by child life specialists. This scoping review will consider all evidence that reports on services provided by child life specialists, including across all quantitative and qualitative study designs, systematic reviews, and scoping reviews. The review will also include child life specialist workforce studies, such as child life specialist utilization, geographic availability, multidisciplinary team integration, and clinician-focused research. Case studies or narrative experiences outside of a qualitative research methodology, descriptions of program implementation, educational surveys, and quality improvement projects will be excluded from the scoping review. METHODS JBI methodology for scoping reviews will guide the review process. Literature published from 1980 to the present will be included. Databases to be searched include PubMed, Scopus, PsycINFO, and CINAHL. The search for unpublished evidence will include Google Scholar and OpenGrey. Extracted data will be presented in tabular format with accompanying narrative summary.
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Affiliation(s)
- Audrey Rosenblatt
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.,Rush University College of Nursing, Chicago, IL, USA.,Lurie Children's Pediatric Research and Evidence Synthesis Center (PRECIISE): A JBI Affiliated Group, Chicago, IL, USA
| | - Renee Pederson
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | - Tyler Davis-Sandfoss
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.,Rush University College of Nursing, Chicago, IL, USA
| | - Lauren Irwin
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | - Rebecca Mitsos
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA
| | - Renee Manworren
- Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.,Lurie Children's Pediatric Research and Evidence Synthesis Center (PRECIISE): A JBI Affiliated Group, Chicago, IL, USA
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Wong BJ, Lee RJ, Saragossi J, Post SG, Glaubach T. Inpatient Care Team Views on Child Life Services: A Scoping Review. Hosp Pediatr 2022; 12:e400-e415. [PMID: 36239095 DOI: 10.1542/hpeds.2022-006651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
CONTEXT The utilization of Child Life Services is influenced by interprofessional collaboration and perceptions of other members of the medical team. OBJECTIVES To summarize studies which address pediatric health care team perspectives on Child Life Services and their utilization in the hospital setting. DATA SOURCES A comprehensive literature search was conducted with controlled vocabularies and key terms in MEDLINE, Embase, CINAHL, PsycInfo, and Web of Science. STUDY SELECTION Primary studies published before November 2021 were screened using a predetermined set of inclusion and exclusion criteria. DATA CHARTING Data charting was performed by 2 independent reviewers. Data extracted include baseline study characteristics, common themes, main outcomes, strengths, and limitations. Because this is not a systematic review, data from included studies was not quantitatively analyzed, but carefully summarized in the manner of a standard scoping review. RESULTS Nine studies met criteria for inclusion. Common qualitative themes on certified child life specialists include: (1) their broad responsibilities, (2) their positive impact on patients and families, (3) challenges with interprofessional collaboration and integration, and (4) the value of educating others on their roles and responsibilities. CONCLUSIONS Medical subject headings, controlled vocabulary, or other standardized subject headings that index literature on Child Life Services is limited. However, the existing body of literature supports the positive impact certified child life specialists have on patients and families, despite challenges with complete integration into the interdisciplinary care team. Additional research is required to fully understand and overcome these challenges in continued efforts to further drive patient and family-centered care.
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Affiliation(s)
| | | | | | - Stephen G Post
- Center for Medical Humanities, Compassionate Care, and Bioethics
| | - Taly Glaubach
- Renaissance School of Medicine
- Stony Brook Children's Hospital, Stony Brook University, Stony Brook, New York
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Savanh P, Aita M, Héon M, Charbonneau L. Case study of an educational intervention to favor siblings’ adaptation during the hospitalization of a preterm infant in the neonatal intensive care unit. ACTA ACUST UNITED AC 2020. [DOI: 10.1016/j.jnn.2020.04.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Thompson TS, White K, Ross JR, Scheurer MA, Smithwick M. Human-centered design strategies in family and staff preparation for neonatal care. J Perinatol 2020; 40:47-53. [PMID: 32859964 DOI: 10.1038/s41372-020-0752-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE This paper describes human-centered design strategies used to develop solutions for neonatal intensive care unit (NICU) patients, families, and staff in preparation for transition from an open bay (OB) NICU to a single-family room (SFR) NICU. HUMAN-CENTERED DESIGN Through a series of user group meetings, an interdisciplinary team of NICU families, administrators, providers, nurses, and other care team members (CTMs) collaborated with design professionals to create and carry out their vision for the new NICU. This process, which spanned the design, construction, and transition planning phases of the project, enabled stakeholders at the Medical University of South Carolina in Charleston, South Carolina (USA) to seek solutions for integrating patient and family-centered care into the fabric of its new facility and to redesign the care experience. RESULT From this work, new opportunities for family and staff engagement emerged. CONCLUSIONS Continuous end-user involvement led to targeted preparation for neonatal care.
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Affiliation(s)
- Tammy S Thompson
- Academic Affairs Faculty, Medical University of South Carolina (MUSC), Charleston, SC, USA.
| | - Kathleen White
- Patient & Family Education, MUSC Health, Charleston, SC, USA
| | - Julie R Ross
- Neonatal Nurseries, MUSC Health, Charleston, SC, USA
| | - Mark A Scheurer
- MUSC Health Women's Integrated Center of Clinical Excellence, Charleston, SC, USA
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Hall T. Creative, Culturally-Sensitive Counseling for Pediatric Oncology Patients Undergoing Treatment. JOURNAL OF CREATIVITY IN MENTAL HEALTH 2019. [DOI: 10.1080/15401383.2018.1527738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Tabitha Hall
- Troy University, Troy, Alabama, The United States
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Peterson JK, Evangelista LS. Developmentally Supportive Care in Congenital Heart Disease: A Concept Analysis. J Pediatr Nurs 2017; 36:241-247. [PMID: 28579078 PMCID: PMC6567997 DOI: 10.1016/j.pedn.2017.05.007] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Revised: 05/23/2017] [Accepted: 05/24/2017] [Indexed: 10/19/2022]
Abstract
THEORETICAL PRINCIPLES Improved survival of infants and children with congenital heart disease experience has led to recognition that up to half of congenital heart disease survivors also experience developmental delay. Developmentally supportive care is a care model shown in Neonatal Intensive Care Units to be associated with improved outcomes, but developmentally supportive practices with premature infants may not be equally effective in the cardiac population that includes all ages. PHENOMENA ADDRESSED The purpose of this paper is to present a concept analysis using the Walker and Avant method in order to identify and define characteristics of developmentally supportive care as it may be applied to the population of neonates, infants, and children with congenital heart disease. A theoretical definition of developmentally supportive care is presented. RESEARCH LINKAGES This concept analysis will provide nurses and allied health professionals with a theoretical basis to implement high quality, family-centered care that meets individual developmental needs in a population at high risk for developmental sequelae. Nursing implications for developmentally supportive care as it applies to infants and children with heart disease are discussed.
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Affiliation(s)
- Jennifer K Peterson
- Sue & Bill Gross School of Nursing, University of California, Irvine, Irvine, CA, United States.
| | - Lorraine S Evangelista
- Sue & Bill Gross School of Nursing, University of California, Irvine, Irvine, CA, United States.
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Morrison A, Gullón-Rivera AL. Supporting Siblings of Neonatal Intensive Care Unit Patients: A NICU Social Story™ as an Innovative Approach. J Pediatr Nurs 2017; 33:91-93. [PMID: 27979495 DOI: 10.1016/j.pedn.2016.12.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 12/02/2016] [Indexed: 10/20/2022]
Affiliation(s)
- Alexa Morrison
- Department of Family & Consumer Sciences, Western Michigan University, 1903 West Michigan Ave., Kalamazoo, MI 49008-5322, United States.
| | - Angel L Gullón-Rivera
- Department of Family & Consumer Sciences, Western Michigan University, 1903 West Michigan Ave., Kalamazoo, MI 49008-5322, United States.
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